Effects of clinical nursing pathway on promotion of gastrointestinal motility among patents with gynecological diseases after laparoscopic surgery
10.3760/cma.j.issn.1674-2907.2015.11.021
- VernacularTitle:临床护理路径改善妇产科腹腔镜术后胃肠蠕动的效果
- Author:
Yunmei XU
1
Author Information
1. 310005 杭州，浙江中医药大学第二临床医学院妇产科
- Keywords:
Laparoscopic;
Clinical nursing pathway;
Gynecological diseases;
Gastrointestinal function
- From:
Chinese Journal of Modern Nursing
2015;(11):1308-1310,1311
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe and explore the clinical value of clinical nursing pathway ( CNP) to promote gastrointestinal motility in patients with gynecological diseases after laparoscopic surgery ( LS ) . Methods CNP nursing model were carried out in 80 patients with LS in our hospital from April 2013 to April 2014, as the intervention group; another 80 patients accepted only routine care were selected as the control group. Postoperative recovery time of bowel sounds, first exhaust time and hospital stay, serum motilin ( MTL) and gastrin ( GAS) concentrations at 2 h preoperative, as well as 24 h and 48 h after surgery were recorded and compared. Results The recovery time of bowel sounds, first exhaust time and hospital stay were (25. 3 ± 4. 7)h, (32. 8 ± 7. 5) h and (9. 7 ± 3. 2) d in the intervention group, and were (36. 7 ± 4. 8) h, (46. 8 ± 9. 6) h and (12.7 ±4.5)d in the control group (t=8.313, 5.630, 3.621;P<0.01); the difference of MTL and GAS levels at preoperative 2h between the two groups was not statistically significant (P>0. 05); MTL and GAS level were significantly higher in intervention group [(318. 4 ± 16. 2), (125. 9 ± 13. 2), (327. 2 ± 24. 8), (138.4 ±12.8) score] than in the control group [(273. 2 ± 14. 3), (96. 1 ± 12. 1), (293. 4 ± 19. 2), (109. 2 ± 11. 6) score] after 24 h and 48 h, the difference was statistically significant ( t=10. 250,8. 130, 5. 280,8. 281;P<0. 05). Conclusions CNP care model implementation can effectively promote the recovery of gastrointestinal function in gynecological patient after LS, and help the rehabilitation of patients.
